Deficiency Index

Wayne County Nursing Home

Lyons, New York · CCN 335406

24 surveys since 2010, 2 of them producing a finding at harm level or worse.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
57
Surveys
24
Harm or worse
2
Immediate jeopardy
1
The record, 2010–2025
’10’15’20’25
No harm recordedHarm or worseNot surveyed
Immediate jeopardy1

Findings at the most serious level CMS records.

Beyond CMS’s monthly file19/24

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
192
Ownership
Government - City/county
Chain
Independent
County
Wayne
Medicare-certified since
1974

CMS ratings

Overall
1
Health inspection
1
Staffing
4
Quality measures
3

CMS’s own Five-Star ratings.

Compared with similar facilities

Not shown for this facility: too few citations in window (n=9, floor 20).

Last survey on record

Nov 7, 2025

367 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day4.574.26
Registered-nurse hours per resident day0.56—
Annual nurse turnover33.3%33.0%

As reported by the facility to CMS, beside the peer-group median.

Enforcement

Fines
$16,153 across 1 penalty

Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ—K—L17.1%
Actual harmG—H—I—
No harm, potential for more than minimalD964.3%E17.1%F214.3%
No harm, potential for minimalA—B—C17.1%
CMS’s current file: 14 of the 57 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F6562×

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

  • F5541×

    Allow residents to self-administer drugs if determined clinically appropriate.

  • F5801×

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

  • F6101×

    Respond appropriately to all alleged violations.

  • F6551×

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

In the surveyor’s words

From the most serious findings on record at Wayne County Nursing Home, in the surveyor’s own words.

  • Immediate jeopardy, widespreadF689Nov 7, 2025

    Based on observations, interviews and record review conducted during an Abbreviated Survey (Intake ID: 2652860) from 11/03/2025 to 11/07/2025, the facility failed to ensure each resident received adequate supervision and assistive devices to prevent accidents for one (1) of three (3) (Resident #10) residents reviewed for accidents. Specifically, Resident #10 was transferred on 10/24/2025 using an extra-large mechanical lift sling that did not fit the resident's body size, and a registered nurse or therapist did not assess the resident upon readmission to determine the correct sling size which resulted in the resident falling from the sling and sustaining a subdural hematoma (bleeding around the brain) and an orbital fracture (fracture around the eye). […]

  • No harm, potential for more than minimal, widespreadF835Nov 7, 2025

    Based on observations, interviews, and record review conducted during an Abbreviated Survey (Intake ID: 2652860) from 11/03/2025 to 11/07/2025, the facility did not ensure it was administered in a manner that enabled it to use its resources effectively and efficiently to attain or maintain the highest practicable physical, mental, and psychosocial well-being of each resident. Specifically, Resident #10 was transferred on 10/24/2025 using an extra-large mechanical lift sling that did not fit the resident's body size, and a registered nurse or therapist did not assess the resident upon readmission to determine the appropriate mode of transfer, including the mechanical lift sling size, which resulted in the resident falling from the sling and sustaining a subdural hematoma (bleeding around… […]

  • No harm, potential for more than minimal, widespreadF812Oct 13, 2022

    Based on observations, interviews and record review, conducted during the Recertification Survey, completed on 10/13/22, it was determined that for one of one main kitchen reviewed, the facility failed to store, prepare, distribute or serve food in accordance with professional standards (U.S. Food and Drug Administration's Food Code) for food service safety. Specifically, there was a high temperature automatic dishwashing machine in use that did not meet temperature sanitizing standards. […]

  • No harm, potential for more than minimal, patternF880Nov 26, 2024

    Based on observations, interviews, and record review conducted during the Recertification Survey 11/20/2024 to 11/26/2024, for four (Residents #36, #37, #91, #94) of 10 residents reviewed, the facility did not maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections. Specifically, Residents #36 and #94 who were on Enhanced Barrier Precautions (a strategy in nursing homes to decrease transmission of infectious disease using enhanced personal protective equipment [PPE]) had indwelling urinary catheter drainage bags that were observed on the floor. […]

  • No harm, potential for more than minimal, isolatedF554Nov 26, 2024

    Based on observations, interviews, and record review conducted during the Recertification Survey 11/20/2024 to 11/26/2024 for three (Residents #89, #119 and #130) of three residents reviewed, the facility did not ensure residents were assessed by an interdisciplinary team to determine their ability to safely self-administer medications or have medications left at their bedside unsupervised. Specifically, Resident #89 reported that nursing staff frequently left their pills in a medicine cup at their bedside for them to take later. Resident #119 had a nasal spray left unsupervised at their bedside. Resident #130 had an unlabeled and unsupervised medicine cup containing multiple pills in front of them at the table. […]

Read 21 findings in full →The most serious and the most recent: 21 of 57 on record.

Every survey on record

FindingsAt actual harm or above

  • Nov 7, 2025Complaint2 findings · 1 harm
  • Nov 26, 2024Standard2 findings
  • Sep 12, 2024Complaint1 finding
  • Oct 13, 2022Standard4 findings
  • Nov 5, 2020Infection control1 finding
  • Jan 15, 2020Standard5 findings
  • Oct 9, 2018Standard2 findings
  • Jun 16, 2017Standard9 findings
Show the 16 earlier surveys
  • Mar 23, 2017Complaint1 finding
  • Nov 2, 2016Complaint1 finding
  • Apr 29, 2016Standard4 findings
  • Feb 6, 2015Standard10 findings
  • Oct 31, 2014Complaint1 finding
  • Jul 24, 2014Complaint1 finding
  • Jun 13, 2014Complaint1 finding
  • Jan 10, 2014—1 finding
  • Nov 14, 2012—1 finding
  • Jun 7, 2012—1 finding · 1 harm
  • Jan 17, 2012—1 finding
  • Oct 26, 2011—2 findings
  • Oct 18, 2011—1 finding
  • Jun 30, 2011—2 findings
  • Dec 17, 2010—1 finding
  • Nov 2, 2010—2 findings

Surveys that found no deficiencies are not in CMS’s files and do not appear here.

Comparable facilities

The nearest facilities to this one in the same peer group, by weighted findings.

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